Salik J M, Kurtin P
Am J Gastroenterol. 1985 Mar;80(3):177-9.
Disseminated infections with cytomegalovirus have become an increasingly important cause of morbidity and mortality in patients with the acquired immune deficiency syndrome. Herein we describe a male homosexual with the acquired immune deficiency syndrome who became severely hyponatremic during bowel preparation for colonoscopy. Biochemical evidence of adrenal insufficiency and clinical evidence for cytomegalovirus colitis was found. We propose that the patient had clinically significant cytomegalovirus adrenalitis. A random urinary sodium concentration is suggested as a potential screening test before bowel preparation in such patients.
巨细胞病毒播散性感染已成为获得性免疫缺陷综合征患者发病和死亡的一个日益重要的原因。在此，我们描述一名患有获得性免疫缺陷综合征的男性同性恋者，他在结肠镜检查肠道准备期间出现严重低钠血症。发现了肾上腺功能不全的生化证据和巨细胞病毒结肠炎的临床证据。我们认为该患者患有具有临床意义的巨细胞病毒肾上腺炎。建议在对此类患者进行肠道准备之前，将随机尿钠浓度作为一种潜在的筛查试验。
